person
Mrs. Autumn Ashley Gonzalez, LCPC,LMHP,CAADC
Professional Counselor in Moline, Illinois
NPI 1699339978

Autumn Ashley Gonzalez is a Professional Counselor based in Moline, IL and is specialized in Professional. Autumn Ashley Gonzalez practices in Moline, IL and has the professional credentials of LCPC,LMHP,CAADC. The NPI Number for Autumn Ashley Gonzalez is 1699339978 and holds a License No. (Illinois).

The current practice location address for Autumn Ashley Gonzalez is 1701 River Dr Ste 110, Moline, IL and can be reached out via phone at 309-762-5433 and via fax at 309-762-4481. You can also correspond with Autumn Ashley Gonzalez through the mailing address at 1701 RIVER DR STE 110, MOLINE, IL - 61265-1384 (mailing address contact number: 309-762-5433).

Location: 1701 River Dr Ste 110, Moline, IL, 61265-1384
person
Provider Profile Details
NPI Number
1699339978
Provider Name
Autumn Ashley Gonzalez
Credential
LCPC,LMHP,CAADC
Provider Entity Type
Individual
Gender
Female
Address
1701 River Dr Ste 110, Moline, IL, 61265-1384
Phone Number
309-762-5433
Fax Number
309-762-4481
Provider Enumeration Date
04/23/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1701 River Dr Ste 110
City
State
Zip
61265-1384
Phone Number
309-762-5433
Fax Number
309-762-4481
person
Provider Business Mailing Address Details
Address
1701 River Dr Ste 110
City
State
Zip
61265-1384
Phone Number
309-762-5433
Fax Number
309-762-4481
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
108785 (Iowa)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
36433 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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